Provider authorization

World Health Organization resources

World Health Organization, Safe Abortion: Technical and Policy Guidance for Health Systems. (2nd ed., 2012). Recognizes that mid-level health workers can be trained to provide safe abortion services, increasing availability and accessibility without compromising safety, especially where doctors are few and not readily accessible to women. Recognizes that restrictions on the range of providers (e.g. gynecologists only) or facilities (e.g. tertiary level only) that are legally authorized to provide abortion reduce the availability of services, and their equitable geographic distribution, requiring women to travel greater distances for care, thereby raising costs and delaying access.

The regulation of facilities and providers should be evidence-based to protect against over- medicalized, arbitrary or otherwise unreasonable requirements. Facility and provider regulation should be based on criteria currently required for provision of safe abortion care (see Chapter 3). Vacuum aspiration and the medical methods recommended in Chapter 2 can be safely provided at primary health-care level by midlevel providers.